Organization
REAL THERAPEUTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THEA KAVANAUGH CTRS (OWNER/RECREATIONAL THERAPIST)
(575) 635-9013
Entity
Organization
Contact information
Practice address
4527 GALISTEO LOOP, LAS CRUCES, NM 88011-4301
(575) 635-9013
Mailing address
4527 GALISTEO LOOP, LAS CRUCES, NM 88011-4301
(575) 635-9013
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
—
Other
Enumeration date
10/10/2024
Last updated
10/10/2024
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